Transcript Jumping onto the Social Media Bandwagon: Using Twitter in

Twitter: #APDIM14
LEVERAGING SOCIAL MEDIA
IN MEDICAL EDUCATION
Alexander M. Djuricich, MD
Program Director, Medicine-Pediatrics Residency
Associate Professor of Clinical Medicine and Pediatrics
Indiana University School of Medicine
Twitter: @MedPedsDoctor
April 10, 2014
MedPeds Program Directors’ Association Meeting
Twitter: #APDIM14
Disclosure
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I report no conflicts of interest, and have nothing to
disclose
I do not receive any financial remuneration from
any social media company, app company or any
other agency except my employer
I am interested in emerging technologies to educate
myself, my learners and patients for the purpose of
improving education and patient care
Twitter: #APDIM14
Objectives
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Describe impact of social media on medicine and
medical education
Explore novel use of emerging technology for
collaboration within medical education to optimize
just-in-time learning
Balance potential benefits of online social network
use with risks/consequences
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Definition
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SOCIAL MEDIA
“Internet-based
applications which allow
for the exchange of
user-generated content;
includes services such as
social networking,
professional online
communities, wikis, blogs
and microblogging”
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Infographic – Explaining social media
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Infographic – Explaining social media
http://blog.bufferapp.com/the-5-funniest-twitter-infographics
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Meaningful Use of Social Media
McGowan BS, et al. Understanding the factors that influence the adoption and meaningful use of
social media by physicians. J Med Internet Res 2012;14(5):e117.
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Meaningful Use
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4 WAYS TO CONSIDER USING SOCIAL MEDIA
TREAT
TEACH
LEARN
ADVOCATE
Adapted from McGowan B. http://www.slideshare.net/cmeadvocate/medicine-2pt0-meaningful-useof-so-me-by-physicians-final &
Kind T, et al. Advantages and challenges of social media in pediatrics. Pediatr Ann 2011;40(9):430-4.
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Examples of Advocacy via SoMe
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http://www.youtube.com/watch?v=KJuziJgUIgQ
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http://vimeo.com/77727683
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Social Media in Medical Education
Use SoMe as
tool to teach
meded content
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Teaching journal club
via social media
Twitter hashtag
#APDIM14
Teach SoMe
content to
meded learners
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e.g., Workshop on how
to use LinkedIn
AND professionalism
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Caution - Professionalism
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Study of physicians on
Twitter
Analyzed tweets from
physicians May 2010
 3% of Tweets deemed
unprofessional
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“Social networks may be
considered the new millenium’s
elevator.”
Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA 2011;305(6):566-8.
Mostaghimi A. Professionalism in the digital age. Ann Intern Med 2011;154:560.
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Professionalism - Case Study #1
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Lapse in professionalism – 2nd year medical student
– Facebook post
Info made its way to school administration as
violation of school Honor Code
Student came before Student Promotions Committee
as possible dismissal
Student wrote reflections for other students to learn
and, ultimately, to publication
Strausburg M. How Facebook almost ended my career with a single click.
Acad Emerg Med 2011;18:1220.
Bosslet GT. Commentary: the good, bad & ugly of social media. Acad Emerg Med 2011;18:1221-2.
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Professionalism - Case Study #2
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New intern orientation
Discussed expectations
Mentioned my interest in
Twitter
One intern became a
Twitter follower
His avatar is here:
Twitter: #APDIM14
Professionalism - Case Study #2
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New intern orientation
Discussed expectations
Mentioned my interest in
Twitter
One intern became a
Twitter follower
His avatar is here:
Twitter: #APDIM14
Professionalism – The Positive
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“We must go farther than curtailing
unprofessional behavior online and embrace the
positive potential for social media: physicians
and health care organizations can and should
utilize the power of social media to facilitate
interactions with patients and the public that
increase their confidence in the medical
profession.”
Greysen SR, et al. Online professionalism and the mirror of social media. J Gen Intern Med
2010;25(11):1227-9.
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Use of Twitter and other OSNs
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As of September,
2013
18% of online
adults use Twitter
42% of online
adults use multiple
social networking
platforms
Pew Internet and American Life Project. Social Media Update 2013. Found at:
http://www.pewinternet.org/2013/12/30/social-media-update-2013/
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Is social media academic/scholarly?
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GR Tweeted March – August 2012
7
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 Education
5
 Clinical
4
4
3
17 presentations
 Research
3
 QI/PS
2
2
 Advocacy
2
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1
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0
Education Clinical
Research
QI/PS
Advocacy
613 Tweets
61 separate
participants
Djuricich AM. Grand rounds in medical education: Tweet away! Presented at Med2.0 conference, Boston, MA, 9-12.
http://www.medicine20congress.com/ocs/index.php/med/med2012/paper/view/1181
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Twitter at conferences
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Great to create a “back-channel”
Highlight important aspects of meeting
Can be done as part of a formal presentation
http://chrisheffer.com/2012/08/23/how-to-use-twitterconference/?utm_source=feedburner&utm_medium=feed&utm
_campaign=Feed:+ChrisHeffersBlog+(Chris+Heffer's+blog)
Desai T. Tweeting the meeting: an in-depth analysis of Twitter activity at Kidney Week 2011.
PLoS One 2012;7(7):e40253.
Chaudhry A. Trends in twitter use by physicians at the ASCO meeting, 2010 & 2011.
J Oncol Pract 2012;8(3):173-8.
Matta R. The dramatic rise of social media in urology: trends in Twitter use at the American & Canadian
AUA annual meetings. J Urol 2014; Feb 24. e-pub ahead of print.
Logghe H. Twitter usage at Clinical Congress rises markedly over two years.
Bull Am Coll Surg 2013;98(2):22-4.
Neill A. The impact of social media on a major international Emergency Medicine conference.
Emerg Med J 2013 Feb 19. Epub ahead of print.
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Social Media for Medical Educators
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Identify and reflect on one’s digital identity
Observe and establish comfort first;
“Think, then contribute”
Use social media to disseminate evidence-based
health information
Apply social media guidelines
Tap into power of community
Kind T. et al. Twelve tips for using social media as a medical educator. Med Teach 2014 Apr;36(4):284-90.
Slide courtesy of Ann Marie Cunningham, MD, presented at AMEE 2012, Lyons, France.
Twitter: #APDIM14
Social media and journal club
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Annals Emergency Medicine hosted an asynchronous
global Emerg Med journal club on a blog
Comments moderated on the blog and Twitter
Radecki R. Global Emergency Medicine J Club: Social Media responses to the Nov 2013 Ann Emerg Med J Club.
Ann Emerg Med 2014;63:490-4.
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Social media and Evaluation/Feedback
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Used private (Direct Messaging) feature from
Twitter to provide feedback to resident trainees
Desai B. A novel use of Twitter to provide feedback and evaluations. Clin Teach 2014;11:141-5.
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Milestones for social media
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“It is time to view the use of social networking sites as
an EPA.”
Advanced developmental milestone: “successfully
tailoring communication strategies to the audience,
purpose, and context.”
Kind T. Social media milestones: entrusting trainees to conduct themselves responsibly and professionally.
J Grad Med Educ 2014;6(1):170-1.
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Physician literacies in the digital age
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Network Awareness/Collaboration
Manage input
Creation/Translation
 Observe
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 Converse  Curate  Content Creation
Mindfulness
 Balance
technology fascination with attention to patients
Bryan Vartabedian blog: 33 charts. Found at: http://33charts.com/2012/09/new-physician-literacies.html
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The cost of technology
Toll E. The cost of technology JAMA 2012;307(23):2497-8.
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Caution about social media
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http://m.youtube.com/watch?v=_u3BRY2RF5I&fe
ature=youtu.be
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Twitter for HCPs 101 & 102
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Twitter Basics 101:
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gutcheckblog.com/2012/
04/30/ok-im-on-twitternow-what-a-primer-forphysicians-aka-twitter101-for-docs
Twitter Basics 102:
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gutcheckblog.com/2012/
05/28/twitter-101-fordocs-twitter-lingo
Blog of Ryan Madanick, MD, GI Fellowship Director, University of North Carolina. http://gutcheckblog.com
Twitter: #APDIM14
Time to put you to work
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Sign on to Twitter
http://twitter.com
Need to put basic info in: name, where you live, etc.
Need a handle
Need a “bio”: 160 characters which describes yourself
to others. Don’t skip this part.
Ideally, put in a picture of yourself. If don’t, it defaults
to an egg.
Try to tweet at least once
Try to follow at least one person. We can review
“whom to follow” – can give examples
Setting up a Twitter account:
choose your “handle” (your Twitter name)
Twitter: #APDIM14
@MedPedsDoctor
30
Twitter: #APDIM14
Write a profile +/- pic, location,
website
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Picture
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Profile
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Location
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Website
Twitter: #APDIM14
Getting started With Twitter: @
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“@” symbol: letters coming after it are what one’s
“Twitter handle” is
@MedPedsDoctor is mine
@BusymomJen is Jen O’Toole
@DocLennyF is Lenny Feldman
@frohnaj is John Frohna
@CincyIM is Eric Warm
@iumedschool is the official handle for IUSM
Twitter: #APDIM14
Getting started with Twitter: #
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A “#” symbol is a hashtag, used to describe
a common theme under which one can collect
information
#meded: “medical education”
#FOAMed: “free open access meducation”
#ACGME2014: ACGME meeting
#APDIM14: APDIM meeting this week
#IUPedsGrRounds: Pediatric Grand Rounds
at IUSM on Wednesdays 8am EST
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Using Twitter hashtag
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Putting it together
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Tools to ease the process
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http://Tweetchat.com
You put in the hashtag you want to follow
Only those tweets with that hashtag will show up
Basically is a “filter”
There are many other apps/programs that do just
this
Twitter: #APDIM14
Twitter chats
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This is an opportunity to learn from others and
comment on questions during a scheduled time
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#meded chat occurs on Thursdays, 9 pm EST
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#hcsm chat occurs on Sundays, 9 pm EST
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List of health chats:
http://www.symplur.com/healthcare-hashtags/
Twitter: #APDIM14
Twitter list
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You can separate out whom you follow
 Researcher
colleagues
 College friends
 Institution colleagues
 Physician-only
 “Just for fun”-colleagues
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Great explanation of lists here:
http://t.co/HspLPjoy
Twitter: #APDIM14
Take Home Points
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Social media: embrace it … with cautious optimism
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Start slow, but start
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Many resources are out there to help physicians
“take the leap” into using social media
Meaningful use makes it worthwhile: each person
defines her/his own meaningful use
Twitter: #APDIM14
Thank You for Participating!
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